Individual
DR. WILLIS LEROY RAHN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
89 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-4951
(843) 873-1261
(843) 871-3701
Mailing address
89 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-4951
(843) 873-1261
(843) 871-3701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3014
SC
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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